All Roll Calls
Yes: 165 • No: 0
TennesseeHB 2044114th General Assembly (2025-2026)House
AN ACT to amend Tennessee Code Annotated, Title 63; Title 68, Chapter 11, Part 2 and Chapter 1042 of the Public Acts of 2024, relative to certified medical assistants.
Sponsored By: Pat Marsh (Republican)
Signed by Governor
Medical Occupations
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
Medical assistants get broader medicine duties
Certified medical assistants can prepare or give listed medicines ordered by an authorized healthcare provider. Labeled single-dose packages must be ready to use; labeled multi-dose packages need a specific ordered dose requiring no calculation. Listed medicines include vaccines; muscle, skin, and under-skin injections; oral medicines; and medicines placed under the tongue or inside the cheek. The list also covers skin medicines, rinsing solutions, eye drops, metered-dose inhalers, and single-dose nebulizers. Ear, nose, and vaginal medicines exclude injections; rectal and urinary-route medicines are also listed. Assistants can prepare medicines for a provider to give. Listed anesthetics include skin patches, medicines applied to moist tissue surfaces, and provider-ordered under-skin doses limited to the trunk and limbs. The law also adds inhaled anesthesia gases, other anesthetic agents, and cosmetic medicines such as botulinum toxin, fillers, and chemical peels.
Physician assistants can delegate more tasks
The law lets physician assistants assign tasks to certified medical assistants while working with a licensed physician. They must follow the required protocol or collaboration agreement and Board of Physician Assistants rules. They cannot assign care decisions that require their judgment to assess, plan, or change an individual patient's care. The board can set rules for delegated medicines, vaccines, and other tasks through Tennessee's public rulemaking process. The law takes effect upon becoming law.
Medical assistant credentials and clinic training
Certified medical assistants must be certified or registered by one of five recognized organizations. These are American Medical Technologists, American Association of Medical Assistants, and National Center for Competency Testing. National Healthcareer Association and National Association for Health Professionals also qualify. Outpatient clinics must train medical assistants and check that they can perform their duties. When needed, clinics must provide extra training and verify skills for giving medicines.
Sponsors & Cosponsors
Sponsor
Pat Marsh
Republican • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 3/16/2026
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/16/2026
Yes: 94 • No: 0
House vote • 3/16/2026
HOUSE CALENDAR & RULES COMMITTEE
Yes: 0 • No: 0
Senate vote • 3/16/2026
FLOOR VOTE: Third Consideration 3/16/2026
Yes: 29 • No: 0
House vote • 3/9/2026
HOUSE GOVERNMENT OPERATIONS COMMITTEE
Yes: 11 • No: 0
House vote • 3/3/2026
HOUSE HEALTH COMMITTEE
Yes: 24 • No: 0
House vote • 2/18/2026
HOUSE HEALTH SUBCOMMITTEE
Yes: 7 • No: 0
Actions Timeline
Effective date(s) 04/13/2026
4/23/2026Pub. Ch. 755
4/23/2026Signed by Governor.
4/13/2026Transmitted to Governor for his action.
4/1/2026HouseSigned by Senate Speaker
3/24/2026SenateSigned by H. Speaker
3/24/2026HouseEnrolled; ready for sig. of H. Speaker.
3/17/2026HousePassed Senate, Ayes 29, Nays 0, PNV 2
3/16/2026SenateAmendment withdrawn. (Amendment 1 - SA0596)
3/16/2026SenateSenate substituted House Bill for companion Senate Bill.
3/16/2026SenateReceived from House, Passed on First Consideration
3/16/2026SenateEngrossed; ready for transmission to Sen.
3/16/2026HousePassed H., as am., Ayes 94, Nays 0, PNV 0
3/16/2026HouseH. adopted am. (Amendment 1 - HA0595)
3/16/2026HouseH. Placed on Regular Calendar for 3/16/2026
3/12/2026HousePlaced on cal. Calendar & Rules Committee for 3/12/2026
3/11/2026HouseRec. for pass; ref to Calendar & Rules Committee
3/9/2026HousePlaced on cal. Government Operations Committee for 3/9/2026
3/4/2026HouseRec. for pass. if am., ref. to Government Operations Committee
3/3/2026HousePlaced on cal. Health Committee for 3/3/2026
2/25/2026HouseRec for pass if am by s/c ref. to Health Committee
2/18/2026HousePlaced on s/c cal Health Subcommittee for 2/18/2026
2/11/2026HouseAssigned to s/c Health Subcommittee
2/4/2026HouseP2C, ref. to Health Committee - Government Operations for Review
2/4/2026HouseIntro., P1C.
2/2/2026House
Bill Text
HA0595
3/16/2026
Enrolled / Public Chapter
Fiscal Note
Introduced
SA0596
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